MEDICARE: ANGELINA MIHU MD PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084N0400X	Neurology Physician	259639	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1891994406	OTHER	NY	NPI

General Provider Information

NPI Number	:	1144587197
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ANGELINA MIHU MD PC

Provider Business Mailing Address
First Line	:	4701 QUEENS BLVD
Second Line	:	SUITE 403
City	:	SUNNYSIDE
State	:	NY
Zip	:	11104-1660
Country	:	US
Telephone Number	:	718-784-1400
Fax Number	:

Provider Business Practice Location Address
First Line	:	4701 QUEENS BLVD
Second Line	:	SUITE 403
City	:	SUNNYSIDE
State	:	NY
Zip	:	11104-1660
Country	:	US
Telephone Number	:	718-784-1400
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MS. NURKIA ANGELINA MIHU
Credential	:	M.D.
Telephone Number	:	347-804-8041

Provider Enumeration Date	:	04/16/2012
Last Update Date	:	05/23/2012

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